EP3207928B1 - Composite preparation, containing novel 3-(4-(benzyloxy)phenyl)hex-4-inoic acid derivative and another active ingredient, for preventing or treating metabolic diseases - Google Patents
Composite preparation, containing novel 3-(4-(benzyloxy)phenyl)hex-4-inoic acid derivative and another active ingredient, for preventing or treating metabolic diseases Download PDFInfo
- Publication number
- EP3207928B1 EP3207928B1 EP15850582.6A EP15850582A EP3207928B1 EP 3207928 B1 EP3207928 B1 EP 3207928B1 EP 15850582 A EP15850582 A EP 15850582A EP 3207928 B1 EP3207928 B1 EP 3207928B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- phenyl
- hex
- benzyloxy
- ynoic acid
- methyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 239000004480 active ingredient Substances 0.000 title claims description 54
- 208000030159 metabolic disease Diseases 0.000 title claims description 30
- 238000002360 preparation method Methods 0.000 title description 165
- 239000002253 acid Substances 0.000 title description 12
- 239000002131 composite material Substances 0.000 title description 4
- 150000001875 compounds Chemical class 0.000 claims description 408
- 239000000203 mixture Substances 0.000 claims description 66
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 claims description 43
- ZOBPZXTWZATXDG-UHFFFAOYSA-N 1,3-thiazolidine-2,4-dione Chemical compound O=C1CSC(=O)N1 ZOBPZXTWZATXDG-UHFFFAOYSA-N 0.000 claims description 38
- 102000016622 Dipeptidyl Peptidase 4 Human genes 0.000 claims description 38
- 229940123464 Thiazolidinedione Drugs 0.000 claims description 38
- 101000930822 Giardia intestinalis Dipeptidyl-peptidase 4 Proteins 0.000 claims description 37
- 239000003112 inhibitor Substances 0.000 claims description 32
- 150000003839 salts Chemical class 0.000 claims description 30
- 101710103228 Sodium/glucose cotransporter 2 Proteins 0.000 claims description 27
- 102100020888 Sodium/glucose cotransporter 2 Human genes 0.000 claims description 27
- 208000008589 Obesity Diseases 0.000 claims description 26
- YASAKCUCGLMORW-UHFFFAOYSA-N Rosiglitazone Chemical compound C=1C=CC=NC=1N(C)CCOC(C=C1)=CC=C1CC1SC(=O)NC1=O YASAKCUCGLMORW-UHFFFAOYSA-N 0.000 claims description 26
- 235000020824 obesity Nutrition 0.000 claims description 26
- HYAFETHFCAUJAY-UHFFFAOYSA-N pioglitazone Chemical compound N1=CC(CC)=CC=C1CCOC(C=C1)=CC=C1CC1C(=O)NC(=O)S1 HYAFETHFCAUJAY-UHFFFAOYSA-N 0.000 claims description 26
- 229960004034 sitagliptin Drugs 0.000 claims description 26
- MFFMDFFZMYYVKS-SECBINFHSA-N sitagliptin Chemical compound C([C@H](CC(=O)N1CC=2N(C(=NN=2)C(F)(F)F)CC1)N)C1=CC(F)=C(F)C=C1F MFFMDFFZMYYVKS-SECBINFHSA-N 0.000 claims description 26
- 229960003105 metformin Drugs 0.000 claims description 25
- XZWYZXLIPXDOLR-UHFFFAOYSA-N metformin Chemical compound CN(C)C(=N)NC(N)=N XZWYZXLIPXDOLR-UHFFFAOYSA-N 0.000 claims description 25
- 229940123208 Biguanide Drugs 0.000 claims description 24
- XNCOSPRUTUOJCJ-UHFFFAOYSA-N Biguanide Chemical compound NC(N)=NC(N)=N XNCOSPRUTUOJCJ-UHFFFAOYSA-N 0.000 claims description 24
- 229910052757 nitrogen Inorganic materials 0.000 claims description 24
- 208000001072 type 2 diabetes mellitus Diseases 0.000 claims description 23
- 239000004472 Lysine Substances 0.000 claims description 22
- 235000019766 L-Lysine Nutrition 0.000 claims description 21
- 229940100389 Sulfonylurea Drugs 0.000 claims description 21
- 206010067584 Type 1 diabetes mellitus Diseases 0.000 claims description 21
- 238000002156 mixing Methods 0.000 claims description 21
- YROXIXLRRCOBKF-UHFFFAOYSA-N sulfonylurea Chemical class OC(=N)N=S(=O)=O YROXIXLRRCOBKF-UHFFFAOYSA-N 0.000 claims description 21
- 230000002265 prevention Effects 0.000 claims description 20
- 102000004190 Enzymes Human genes 0.000 claims description 18
- 108090000790 Enzymes Proteins 0.000 claims description 18
- 230000003287 optical effect Effects 0.000 claims description 18
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 18
- 208000032928 Dyslipidaemia Diseases 0.000 claims description 17
- 208000002705 Glucose Intolerance Diseases 0.000 claims description 17
- 208000035150 Hypercholesterolemia Diseases 0.000 claims description 17
- 208000031226 Hyperlipidaemia Diseases 0.000 claims description 17
- 208000031773 Insulin resistance syndrome Diseases 0.000 claims description 17
- 208000017170 Lipid metabolism disease Diseases 0.000 claims description 17
- 201000001421 hyperglycemia Diseases 0.000 claims description 17
- 208000006575 hypertriglyceridemia Diseases 0.000 claims description 17
- 201000009104 prediabetes syndrome Diseases 0.000 claims description 17
- 208000011580 syndromic disease Diseases 0.000 claims description 17
- LTXREWYXXSTFRX-QGZVFWFLSA-N Linagliptin Chemical compound N=1C=2N(C)C(=O)N(CC=3N=C4C=CC=CC4=C(C)N=3)C(=O)C=2N(CC#CC)C=1N1CCC[C@@H](N)C1 LTXREWYXXSTFRX-QGZVFWFLSA-N 0.000 claims description 15
- 229960002397 linagliptin Drugs 0.000 claims description 15
- 229960004346 glimepiride Drugs 0.000 claims description 13
- WIGIZIANZCJQQY-RUCARUNLSA-N glimepiride Chemical compound O=C1C(CC)=C(C)CN1C(=O)NCCC1=CC=C(S(=O)(=O)NC(=O)N[C@@H]2CC[C@@H](C)CC2)C=C1 WIGIZIANZCJQQY-RUCARUNLSA-N 0.000 claims description 13
- 229960005095 pioglitazone Drugs 0.000 claims description 13
- 229960004586 rosiglitazone Drugs 0.000 claims description 13
- LERULKZHANTCLJ-DEOSSOPVSA-N (3s)-3-[4-[[4-(1,3-dihydroisoindol-2-ylmethyl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC([C@H](CC(O)=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1CC2=CC=CC=C2C1 LERULKZHANTCLJ-DEOSSOPVSA-N 0.000 claims description 11
- KHJJIVNIIQXOQW-QHCPKHFHSA-N (3s)-3-[4-[[3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC([C@H](CC(O)=O)C#CC)=CC=C1OCC1=CC=CC(C=2CCC3(CC=2)OCCO3)=C1 KHJJIVNIIQXOQW-QHCPKHFHSA-N 0.000 claims description 10
- 239000012453 solvate Substances 0.000 claims description 10
- KHJJIVNIIQXOQW-UHFFFAOYSA-N 3-[4-[[3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC1=CC=CC(C=2CCC3(CC=2)OCCO3)=C1 KHJJIVNIIQXOQW-UHFFFAOYSA-N 0.000 claims description 9
- 229960004580 glibenclamide Drugs 0.000 claims description 9
- ZNNLBTZKUZBEKO-UHFFFAOYSA-N glyburide Chemical compound COC1=CC=C(Cl)C=C1C(=O)NCCC1=CC=C(S(=O)(=O)NC(=O)NC2CCCCC2)C=C1 ZNNLBTZKUZBEKO-UHFFFAOYSA-N 0.000 claims description 9
- KHJJIVNIIQXOQW-HSZRJFAPSA-N (3r)-3-[4-[[3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC([C@@H](CC(O)=O)C#CC)=CC=C1OCC1=CC=CC(C=2CCC3(CC=2)OCCO3)=C1 KHJJIVNIIQXOQW-HSZRJFAPSA-N 0.000 claims description 8
- VTZDPQGGOUEESD-UHFFFAOYSA-N 4-hexynoic acid Chemical compound CC#CCCC(O)=O VTZDPQGGOUEESD-UHFFFAOYSA-N 0.000 claims description 8
- 229920001090 Polyaminopropyl biguanide Polymers 0.000 claims description 8
- 229940093424 polyaminopropyl biguanide Drugs 0.000 claims description 8
- AAZOJORPZJMOIL-UHFFFAOYSA-N 3-[4-[[3-(4-hydroxycyclohexen-1-yl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC1=CC=CC(C=2CCC(O)CC=2)=C1 AAZOJORPZJMOIL-UHFFFAOYSA-N 0.000 claims description 7
- 125000002947 alkylene group Chemical group 0.000 claims description 6
- 125000000051 benzyloxy group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])O* 0.000 claims description 6
- 229910052799 carbon Inorganic materials 0.000 claims description 6
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 6
- ZVVMZGOYSQGIEA-SANMLTNESA-N (3s)-3-[4-[[4-(3,4-dihydro-1h-isoquinolin-2-ylmethyl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC([C@H](CC(O)=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1CC2=CC=CC=C2CC1 ZVVMZGOYSQGIEA-SANMLTNESA-N 0.000 claims description 4
- IQHBMZZZRJYAMZ-VWLOTQADSA-N (3s)-3-[4-[[4-[(6-methoxy-3,4-dihydro-1h-isoquinolin-2-yl)methyl]phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1CC2=CC(OC)=CC=C2CN1CC(C=C1)=CC=C1COC1=CC=C([C@H](CC(O)=O)C#CC)C=C1 IQHBMZZZRJYAMZ-VWLOTQADSA-N 0.000 claims description 4
- UESLHWHSRBKIQU-SANMLTNESA-N (3s)-3-[4-[[4-[2-(6-methoxy-3,4-dihydro-1h-isoquinolin-2-yl)ethyl]phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1CC2=CC(OC)=CC=C2CN1CCC(C=C1)=CC=C1COC1=CC=C([C@H](CC(O)=O)C#CC)C=C1 UESLHWHSRBKIQU-SANMLTNESA-N 0.000 claims description 4
- AVVDTZVMFXUHED-SANMLTNESA-N (3s)-3-[4-[[4-[[4-(4-fluorophenyl)piperazin-1-yl]methyl]phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC([C@H](CC(O)=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1CCN(C=2C=CC(F)=CC=2)CC1 AVVDTZVMFXUHED-SANMLTNESA-N 0.000 claims description 4
- JMWSPPRXMGNSRF-MHZLTWQESA-N (3s)-3-[4-[[4-[[4-(4-methoxyphenyl)piperazin-1-yl]methyl]phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(OC)=CC=C1N1CCN(CC=2C=CC(COC=3C=CC(=CC=3)[C@H](CC(O)=O)C#CC)=CC=2)CC1 JMWSPPRXMGNSRF-MHZLTWQESA-N 0.000 claims description 4
- VAZJLPXFVQHDFB-UHFFFAOYSA-N 1-(diaminomethylidene)-2-hexylguanidine Chemical compound CCCCCCN=C(N)N=C(N)N VAZJLPXFVQHDFB-UHFFFAOYSA-N 0.000 claims description 4
- BOVGTQGAOIONJV-BETUJISGSA-N 1-[(3ar,6as)-3,3a,4,5,6,6a-hexahydro-1h-cyclopenta[c]pyrrol-2-yl]-3-(4-methylphenyl)sulfonylurea Chemical compound C1=CC(C)=CC=C1S(=O)(=O)NC(=O)NN1C[C@H]2CCC[C@H]2C1 BOVGTQGAOIONJV-BETUJISGSA-N 0.000 claims description 4
- LLJFMFZYVVLQKT-UHFFFAOYSA-N 1-cyclohexyl-3-[4-[2-(7-methoxy-4,4-dimethyl-1,3-dioxo-2-isoquinolinyl)ethyl]phenyl]sulfonylurea Chemical compound C=1C(OC)=CC=C(C(C2=O)(C)C)C=1C(=O)N2CCC(C=C1)=CC=C1S(=O)(=O)NC(=O)NC1CCCCC1 LLJFMFZYVVLQKT-UHFFFAOYSA-N 0.000 claims description 4
- QWODGCPPKHXRNS-UHFFFAOYSA-N 3-[4-[[3-(4-oxocyclohexen-1-yl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC1=CC=CC(C=2CCC(=O)CC=2)=C1 QWODGCPPKHXRNS-UHFFFAOYSA-N 0.000 claims description 4
- RVWNACWJZMKLIY-UHFFFAOYSA-N 3-[4-[[3-(cyclohexen-1-yl)-4-(3,4-dihydro-1h-isoquinolin-2-ylmethyl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC(C=C1C=2CCCCC=2)=CC=C1CN1CC2=CC=CC=C2CC1 RVWNACWJZMKLIY-UHFFFAOYSA-N 0.000 claims description 4
- ZVVMZGOYSQGIEA-UHFFFAOYSA-N 3-[4-[[4-(3,4-dihydro-1h-isoquinolin-2-ylmethyl)phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1CC2=CC=CC=C2CC1 ZVVMZGOYSQGIEA-UHFFFAOYSA-N 0.000 claims description 4
- MJJFPMFTEKHMKW-UHFFFAOYSA-N 3-[4-[[4-[(4-phenylpiperazin-1-yl)methyl]phenyl]methoxy]phenyl]hex-4-ynoic acid Chemical compound C1=CC(C(CC(O)=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1CCN(C=2C=CC=CC=2)CC1 MJJFPMFTEKHMKW-UHFFFAOYSA-N 0.000 claims description 4
- 241001564395 Alnus rubra Species 0.000 claims description 4
- GHXZTYHSJHQHIJ-UHFFFAOYSA-N Chlorhexidine Chemical compound C=1C=C(Cl)C=CC=1NC(N)=NC(N)=NCCCCCCN=C(N)N=C(N)NC1=CC=C(Cl)C=C1 GHXZTYHSJHQHIJ-UHFFFAOYSA-N 0.000 claims description 4
- RKWGIWYCVPQPMF-UHFFFAOYSA-N Chloropropamide Chemical compound CCCNC(=O)NS(=O)(=O)C1=CC=C(Cl)C=C1 RKWGIWYCVPQPMF-UHFFFAOYSA-N 0.000 claims description 4
- 229940124213 Dipeptidyl peptidase 4 (DPP IV) inhibitor Drugs 0.000 claims description 4
- DVJAMEIQRSHVKC-BDAKNGLRSA-N Dutogliptin Chemical compound OB(O)[C@@H]1CCCN1C(=O)CN[C@H]1CNCC1 DVJAMEIQRSHVKC-BDAKNGLRSA-N 0.000 claims description 4
- ZWPRRQZNBDYKLH-VIFPVBQESA-N Gemigliptin Chemical compound C([C@@H](N)CC(=O)N1CC2=C(C(=NC(=N2)C(F)(F)F)C(F)(F)F)CC1)N1CC(F)(F)CCC1=O ZWPRRQZNBDYKLH-VIFPVBQESA-N 0.000 claims description 4
- HNSCCNJWTJUGNQ-UHFFFAOYSA-N Glyclopyramide Chemical compound C1=CC(Cl)=CC=C1S(=O)(=O)NC(=O)NN1CCCC1 HNSCCNJWTJUGNQ-UHFFFAOYSA-N 0.000 claims description 4
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- LFVVNPBBFUSSHL-UHFFFAOYSA-N alexidine Chemical compound CCCCC(CC)CNC(=N)NC(=N)NCCCCCCNC(=N)NC(=N)NCC(CC)CCCC LFVVNPBBFUSSHL-UHFFFAOYSA-N 0.000 claims description 4
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- YBHILYKTIRIUTE-UHFFFAOYSA-N berberine Chemical compound C1=C2CC[N+]3=CC4=C(OC)C(OC)=CC=C4C=C3C2=CC2=C1OCO2 YBHILYKTIRIUTE-UHFFFAOYSA-N 0.000 claims description 4
- QISXPYZVZJBNDM-UHFFFAOYSA-N berberine Natural products COc1ccc2C=C3N(Cc2c1OC)C=Cc4cc5OCOc5cc34 QISXPYZVZJBNDM-UHFFFAOYSA-N 0.000 claims description 4
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- NCJYWNBIDQTRJW-SNYZSRNZSA-M sodium (3S)-3-[4-[[4-(3,4-dihydro-2H-quinolin-1-ylmethyl)phenyl]methoxy]phenyl]hex-4-ynoate Chemical compound [Na+].C1=CC([C@H](CC([O-])=O)C#CC)=CC=C1OCC(C=C1)=CC=C1CN1C2=CC=CC=C2CCC1 NCJYWNBIDQTRJW-SNYZSRNZSA-M 0.000 claims description 4
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Definitions
- the present invention relates to a pharmaceutical composition for the prevention or treatment of metabolic diseases, in which a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative and at least one selected from the group consisting of dipeptidyl peptidase IV (DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based drugs can be administered, as different active ingredients, in combination or in the form of a composite preparation.
- DPPIV dipeptidyl peptidase IV
- ZD thiazolidinedione
- SGLT2 sodium/glucose cotransporter 2
- Type I diabetes also known as insulin-dependent diabetes mellitus (IDDM)
- IDDM insulin-dependent diabetes mellitus
- Type II diabetes also known as non insulin-dependent diabetes mellitus (NIDDM)
- NIDDM non insulin-dependent diabetes mellitus
- Diabetes is characterized by a high concentration of glucose in blood and urine, by which this disease causes polyuria, thirst, hunger, and other lipid and protein metabolism related problems. Diabetes can cause life threatening complications, such as vision loss, renal failure, and heart disease. Diabetes is also a cause of retinal damage, and increases the risk of cataract and glaucoma. Diabetes also lowers response to the pain relating to nerve injury in legs and feet and can be a cause of significant infection.
- GPR40 has recently been identified as one of G-protein coupled receptors (GPCR). It is known as free fatty acid receptor I, which is over-expressed in ⁇ -cells in the pancreas. Intracellular calcium concentration is increased by a compound that activates GPR40 (FFAR1) and accordingly glucose-stimulated insulin secretion (GSIS) is promoted (non-patent document 1).
- FFAR1 FFAR1
- GSIS glucose-stimulated insulin secretion
- the GPR40 activator was introduced in a normal mouse or a transgenic mouse being apt to have diabetes and a glucose tolerance test followed, it showed increased glucose tolerance. The treated mouse demonstrated a short-term increase of insulin in blood plasma.
- GPR40 is regarded as a novel target of a diabetes study.
- the present inventors verified that the co-treatment with a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative and at least one selected from the group consisting of dipeptidyl peptide IV (dipeptidyl peptidase-4, DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based drugs, as different active ingredients, exhibited an excellent blood glucose lowering effect, and then completed the present invention.
- dipeptidyl peptide IV dipeptidyl peptidase-4, DPPIV
- ZD thiazolidinedione
- biguanide-based biguanide-based
- SGLT2 sodium/glucose cotransporter 2
- WO2005/086661 A2 relates to compounds, pharmaceutical compositions and methods for use in treating metabolic disorders.
- WO2008/001931 A2 relates to fused cyclic compounds.
- WO2011/046851 A1 relates to spiropiperidine compounds and pharmaceutical use thereof for treating diabetes.
- WO2015/097713 A1 relates to novel heterocyclic compounds.
- the present invention relates to the provision of a pharmaceutical composition for the prevention or treatment of metabolic diseases, in which a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof, and at least one selected from the group consisting of dipeptidyl peptidase IV (DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based drugs can be administered, as different active ingredients, in combination or in the form of a composite preparation.
- DPPIV dipeptidyl peptidase IV
- ZD thiazolidinedione
- SGLT2 sodium/glucose cotransporter 2
- the invention provides a composition for the prevention or treatment of metabolic diseases selected from the group consisting of obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X, the composition containing: (a), as a first active ingredient, a compound represented by formula 1, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof; and (b), as a second active ingredient, at least one compound selected from the group consisting of dipeptidyl peptidase IV (DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compounds: (In formula 1,
- compositions for the prevention or treatment of metabolic diseases containing: (a), as a first active ingredient, a compound represented by formula 1, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof, as a first active ingredient; and (b), as a second active ingredient, at least one compound selected from the group consisting of dipeptidyl peptidase IV (DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compounds: (In formula 1,
- the dipeptidyl peptidase IV inhibitor-based compound may include sitagliptin, vildagliptin, saxagliptin, linagliptin, teneligliptin, alogliptin, gemigliptin, dutogliptin, berberine, lupeol, red alder, and dandelion coffee
- the sulfonyl urea-based compound is any one selected from the group consisting of carbutamide, acetohexamide, chlorpropamide, tolbutamide, glipizide, gliclazide, glibenclamide, glibornuride, gliquidone, glisoxepide, glyclopyramide, and glimepiride.
- the sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compound is any one selected from the group consisting of empagliflozin, canagliflozin, and dapagliflozin.
- Also described herein is a method for the prevention or treatment of metabolic diseases, the method including administering, to a subject, a pharmaceutically effective amount of a composition containing: (a), as a first active ingredient, a compound represented by formula 1, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof; and (b), as a second active ingredient, at least one compound selected from the group consisting of dipeptidyl peptidase-IV (DPP-IV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compounds, as a second active ingredient:
- DPP-IV dipeptidyl peptidase-IV
- ZD thiazolidinedione
- biguanide-based biguanide-based
- SGLT2 sodium/glucose cotransporter 2
- Formula 1 is as described in the detailed description of the composition for the prevention or treatment of metabolic diseases.
- the mixed composition of the first active ingredient and the second active ingredient is not particularly limited to the mixing weight ratio since no side effects or reduced efficacy are caused by the mixing weight ratio, and considering pathological conditions of patients, the known characteristics of the second active ingredient, and the like, the first active ingredient and the second active ingredient may be mixed at appropriate amounts and administered in combination.
- the mixing weight ratio may be 0.03:1 to 100:1.
- the mixing weight ratio may be 0.03:1 to 30:1.
- the mixing weight ratio may be 0.03:1 to 10:1.
- compositions for the prevention or treatment of metabolic diseases containing: (a), as a first active ingredient, a compound represented by formula 1, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof, as a first active ingredient; and (b), as a second active ingredient, at least one compound selected from the group consisting of dipeptidyl peptidase IV (DPPIV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compounds: (In formula 1,
- - - - is a single bond or double bond;
- a and E are independently C, N, or O;
- n is an integer of 0-3;
- X is a single bond, or C 1-5 straight or branched alkylene;
- R 1 is -H, -OH, halogen, C 1-5 straight or branched alkyl, C 1-5 straight or branched alkoxy, C 5-8 cycloalkyl, or C 5-8 cycloalkenyl;
- R 2 , R 3 , and R 5 are independently -H, -OH, halogen, C 1-5 straight or branched alkyl, or C 1-5 straight or branched alkoxy, wherein, R 2 and R 3 , together with the atoms to which they are attached, may form C 5-8 cycloalkyl, C 6-8 aryl, 5-8 membered heterocycloalkyl containing at least one hetero atom selected from the group consisting of N, O, and S, or
- - - - is a single bond or double bond;
- a and E are independently C or N;
- n is an integer of 0-1;
- X is a single bond, or C 1-3 straight or branched alkylene;
- R 1 is -H or R 2 , R 3 , and R 5 are independently -H, wherein, R 2 and R 3 , together with the atoms to which they are attached, may form phenyl;
- R 4B is absent, or R 4B , together with the atoms to which R 4B is attached and R 4A , may form
- the compound represented by formula 1 may be used in the form of a pharmaceutically acceptable salt, in which the salt is usefully an acid addition salt formed by a pharmaceutically acceptable free acid.
- the acid addition salt is obtained from: inorganic acids, such as hydrochloric acid, nitric acid, phosphoric acid, sulfuric acid, hydrobromic acid, hydriodic acid, nitrous acid, and phosphorous acid; non-toxic organic acids, such as aliphatic mono and dicarboxylate, phenyl-substituted alkanoate, hydroxy alkanoate and alkane dioate, aromatic acids, and aliphatic and aromatic sulfonic acids; or organic acids, such as acetic acid, benzoic acid, citric acid, lactic acid, maleic acid, gluconic acid, methanesulfonic acid, 4-toluenesulfonic acid, tartaric acid, and fumaric acid.
- inorganic acids such as hydrochloric acid, nitric acid,
- Examples of the pharmaceutically non-toxic salt include sulfate, pyrosulfate, bisulfate, sulphite, bisulphite, nitrate, phosphate, monohydrogen phosphate, dihydrogen phosphate, metaphosphate, pyrophosphate, chloride, bromide, iodide, fluoride, acetate, propionate, decanoate, caprylate, acrylate, formate, isobutylate, caprate, heptanoate, propiolate, oxalate, malonate, succinate, suberate, cabacate, fumarate, maliate, butyne-1,4-dioate, hexane-1,6-dioate, benzoate, chlorobenzoate, methylbenzoate, dinitrobenzoate, hydroxybenzoate, methoxybenzoate, phthalate, terephthalate, benzenesulfonate, toluenesulf
- the acid addition salt may be prepared by a conventional method, and for example, the acid addition salt may be prepared by dissolving the derivative of formula 1 in an organic solvent, such as methanol, ethanol, acetone, methylene chloride, or acetonitrile, adding an organic acid or inorganic acid thereto to generate a precipitate, and then filtering and drying the precipitate, or may be prepared by distilling a solvent and an excess acid under reduced pressure, followed by drying and crystallization in an organic solvent.
- an organic solvent such as methanol, ethanol, acetone, methylene chloride, or acetonitrile
- a pharmaceutically acceptable metal salt may be prepared by using a base.
- an alkali metal or alkaline earth metal salt is obtained by dissolving the compound in an excessive alkali metal hydroxide or alkaline earth metal hydroxide solution, filtering a non-soluble compound salt, and then evaporating and drying the filtrate.
- a sodium, potassium, or calcium salt is preferably prepared from a pharmaceutical aspect.
- the corresponding salt is obtained by reacting an alkali metal or alkaline earth metal salt with a suitable salt (e.g., silver nitrate).
- the pharmaceutical composition described herein may contain a pharmaceutically acceptable carrier in addition to active ingredients.
- the pharmaceutically acceptable carrier contained in the pharmaceutical composition described herein is conventionally used in the formulation, and examples thereof may include, but are not limited to, lactose, dextrose, sucrose, sorbitol, mannitol, starch, acacia gum, calcium phosphate, alginate, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, cellulose, water, syrup, methyl cellulose, methyl hydroxybenzoate, propyl hydroxybenzoate, talc, magnesium stearate, and mineral oil.
- the pharmaceutical composition described herein may further contain, in addition to the above ingredients, a lubricant, a wetting agent, a sweetening agent, a flavoring agent, an emulsifier, a suspending agent, a preservative, and the like.
- a lubricant for example, a lubricant, a wetting agent, a sweetening agent, a flavoring agent, an emulsifier, a suspending agent, a preservative, and the like.
- Suitable pharmaceutically acceptable carriers and agents are described in detail in Remington's Pharmaceutical Sciences (19th ed., 1995 ).
- the pharmaceutical composition described herein may be administered orally or parenterally, and examples of the parenteral administration may include a topical application to skin, an intravenous injection, a subcutaneous injection, a muscular injection, an intraperitoneal injection, and a transdermal administration.
- the pharmaceutical composition described herein may be preferably administered orally.
- a solid preparation for oral administration include a tablet, a pill, a powder, a granule, a capsule, a troche, and the like, and such solid preparations are formulated by mixing one or more of the compounds described herein with at least one excipient, such as starch, calcium carbonate, sucrose or lactose, or gelatin.
- lubricants such as magnesium stearate and talc are also used.
- a liquid preparation for oral administration may include a suspension, a liquid for internal use, an emulsion, a syrup, and the like.
- various excipients such as a wetting agent, a sweetener, an aroma, and a preservative may be included in the liquid preparation.
- Examples of the preparation for oral administration include a sterilized aqueous solution, a non-aqueous solvent, a suspension solvent, an emulsion, a freeze-drying agent, and a suppository.
- a non-aqueous solvent and the suspension solvent propylene glycol, polyethylene glycol, a vegetable oil such as an olive oil, an injectable ester such as ethylolate, or the like may be used.
- a substrate for the suppository witepsol, macrogol, tween 61, cacao paper, laurin, glycerol, gelatin, and the like may be used.
- the pharmaceutical composition described herein may be formulated using a pharmaceutically acceptable carrier and/or excipient according to a method which can be easily carried out by a person having ordinary skill in the art to which the present invention pertains, and may be prepared in a unit dosage form or may be prepared by being packaged in a multi-dose container.
- the dosage form may be a solution in an oily or aqueous medium, a suspension, an emulsion, an extract, a powder, a granule, a tablet, or a capsule, and may further contain a dispersant or a stabilizer.
- the dipeptidyl peptidase IV inhibitor-based compound may be any one selected from the group consisting of sitagliptin, vildagliptin, saxagliptin, linagliptin, teneligliptin, alogliptin, gemigliptin, dutogliptin, berberine, lupeol, red alder, and dandelion coffee.
- the sulfonyl urea-based compound may be any one selected from the group consisting of carbutamide, acetohexamide, chlorpropamide, tolbutamide, glipizide, gliclazide, glibenclamide, glibornuride, gliquidone, glisoxepide, glyclopyramide, and glimepiride.
- the thiazolidinedione-based compound may be any one selected from the group consisting of rosiglitazone, pioglitazone, troglitazone, netoglitazone, rivoglitazone, ciglitazone, and rhodanine.
- the biguanide-based compound may be any one selected from the group consisting of metformin, phenformin, buformin, proguanil, chlorproguanil, chlorhexidine, polyaminopropyl biguanide (PAPB), polihexanide, and alexidine.
- the SGLT2 inhibitor-based compound may be any one selected from the group consisting of empagliflozin, canagliflozin, and dapagliflozin.
- the mixing weight ratio of the first active ingredient and the second active ingredient may be 0.03:1 to 100:1. In another aspect, the mixing weight ratio may be 0.03:1 to 30:1, and in still another aspect, the mixing weight ratio may be 0.03:1 to 10:1.
- the composition described herein is not particularly limited to the mixing weight ratio since no side effects or reduced efficacy are caused by the mixing weight ratio, and considering pathological conditions of patients, the known characteristics of the second active ingredient, and the like, the first active ingredient and the second active ingredient may be mixed at appropriate amounts and administered in combination.
- the composition described herein may activate G-protein receptor 40 (GPR40) enzyme.
- GPR40 is the G-protein coupled receptor (GPCR) that is mainly expressed in insulin secreting cells of the pancreas.
- GPCR G-protein coupled receptor
- the GPR40 expression profile has the potential usability for the treatment of various metabolic diseases including obesity and diabetes.
- DPPIV dipeptidyl peptidase IV
- ZD thiazolidinedione
- biguanide-based biguanide-based
- SGLT2 inhibitor-based drugs had an excellent blood glucose-lowering effect compared with the administration of the drugs alone (see tables 8 to 14 in Experimental Examples 8 to 12, and FIGS. 3 to 12 ).
- the pharmaceutical composition described herein has an excellent effect of activating GPR40 protein, leading to an excellent insulin secretion promoting effect, and can be co-administered together with other drugs, and also, has a significantly excellent effect of activating GPR40 protein in vivo.
- the metabolic disease may be any one selected from the group consisting of obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- the composition described herein can be advantageously used for the prevention or treatment of the above-mentioned metabolic diseases through the blood sugar-lowering effect thereof.
- azocarboxylate reagent diethyl azodicarboxylate (DEAD) or diisopropyl azodicarboxylate (DIAD) may be used, and preferably diisopropyl azodicarboxylate (DIAD) may be used.
- DEAD diethyl azodicarboxylate
- DIAD diisopropyl azodicarboxylate
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 2) is to prepare the compound represented by formula 1 by carrying out a reduction reaction of the compound represented by formula 4, prepared in step 1), in the presence of a base. More specifically, the compound represented by formula 4 prepared in step 1) is reacted with the base at room temperature to prepare the compound represented by formula 1 wherein an ester group contained in the compound represented by formula 4 is reduced into a carboxyl group.
- potassium hydroxide (KOH), sodium hydroxide (NaOH), or lithium hydroxide (LiOH) may be used, and preferably, potassium hydroxide (KOH) may be used.
- reaction solvent tetrahydrofuran (THF), dichloromethane (DCM), toluene, or acetonitrile may be used, and preferably tetrahydrofuran (THF) may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- the compound represented by formula 2 used as a starting material may be prepared by the method including the following steps, as shown in Reaction Scheme 2 below:
- step 1) is to prepare the compound represented by formula 10 by reacting a compound represented by formula 8 with a compound represented by formula 9. More specifically, the compound represented by formula 8 and the compound represented by formula 9 are dissolved in an organic solvent at -80 ⁇ to -70 ⁇ , and then a bis(trimethylsilyl)amide metal complex is slowly added dropwise thereto, and the mixture was stirred while the temperature was raised to room temperature, thereby giving the compound represented by formula 10.
- potassium bis(trimethylsilyl)amide lithium bis(trimethylsilyl)amide, or sodium bis(trimethylsilyl)amide may be used, and preferably, potassium bis(trimethylsilyl)amide may be used.
- organic solvent tetrahydrofuran (THF), diethylether, diphenylether, diisopropylether (DIPE), dimethylformamide (DMF), dimethylacetamide (DMA), dimethylsulfoxide DMSO), dichloromethane (DCM), chlorobenzene, toluene, and benzene may be used.
- reaction temperature is preferably carried out between -80 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 2) is to prepare the compound represented by formula 12 by reacting the compound represented by formula 10 prepared in step 1) with the compound represented by formula 11. More specifically, a Suzuki coupling reaction of the compound represented by formula 10 prepared in step 1) and the compound represented by formula 11 is carried out in the presence of a palladium catalyst to give the compound represented by formula 12.
- tetrakis(triphenylphosphine) Pd(PPh 3 ) 4
- bis(triphenylphosphine)palladium(II) dichloride PdCl 2 (PPh 3 ) 2
- palladium dichloride PdCl 2
- palladium acetate Pd (OCOCH 3 ) 2
- tetrakis(triphenylphosphine) Pd(PPh 3 ) 4
- organic solvent tetrahydrofuran (THF), diethylether, diphenylether, diisopropylether (DIPE), dimethylformamide (DMF), dimethylacetamide (DMA), dimethylsulfoxide DMSO), dichloromethane (DCM), chlorobenzene, toluene, or benzene may be used, and preferably, toluene may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 3) is to prepare the compound represented by formula 2 by carrying out a reduction reaction of the compound represented by formula 12, prepared in step 2), in the presence of a base. More specifically, the compound represented by formula 12 prepared in step 2) is dissolved in an organic solvent, and the base is added, thereby giving the compound represented by formula 2 wherein an aldehyde group contained in the compound represented by formula 12 is reduced into a carboxyl group.
- organic solvent methanol, ethanol, ethylacetate, tetrahydrofuran, diethyl ether, or a mixed solution of two or more thereof may be used, and preferably, a tetrahydrofuran : methanol (4:1) mixed solution may be used.
- sodium borohydride (NaBH 3 ) or lithium aluminum hydride (LiAlH 4 ) may be used, and preferably, sodium borohydride (NaBH 3 ) may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- the compound represented by formula 1 may be prepared, as shown in Reaction Scheme 3 below, by including steps of: carrying out a coupling reaction of a compound represented by formula 5 and a compound represented by formula 3 to prepare a compound represented by formula 6 (step 1); carrying out a Mesylate reaction of the compound represented by formula 6 prepared in step 1) to prepare a compound represented by formula 7 (step 2); replacing the Mesylate site of the compound represented by formula 7 prepared in step 2) with a compound represented by formula 13 to prepare a compound represented by formula 4 (step 3); and carrying out a reduction reaction of the compound represented by formula 4 prepared in step 3) to prepare the compound represented by formula 1 (step 4).
- Reaction Scheme 3 wherein Reaction Scheme 3,
- step 1) is to prepare the compound represented by formula 6 by carrying out a coupling reaction of the compound represented by formula 5 and the compound represented by formula 3.
- organic solvent tetrahydrofuran (THF), diethylether, diphenylether, diisopropylether (DIPE), dimethylformamide (DMF), dimethylacetamide (DMA), dimethylsulfoxide DMSO), dichloromethane (DCM), chlorobenzene, toluene, or benzene may be used, and preferably, dimethylformamide (DMF) may be used.
- Cs 2 CO 3 cesium carbonate
- NaBH 3 sodium borohydride
- LiAlH 4 lithium aluminum hydride
- Cs 2 CO 3 cesium carbonate
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 2) is to prepare the compound represented by formula 7 by carrying out a Mesylate reaction of the compound represented by formula 6 prepared in step 1) in a solvent.
- MsCl methanesulfonyl chloride
- triethylamine tetrahydrofuran (THF), diethylether, diphenylether, diisopropylether (DIPE), dimethylformamide (DMF), dimethylacetamide (DMA), dimethylsulfoxide (DMSO), dichloromethane (DCM), chlorobenzene, toluene, or benzene
- THF tetrahydrofuran
- DIPE dimethylformamide
- DMA dimethylacetamide
- DMSO dimethylsulfoxide
- DCM dichloromethane
- chlorobenzene toluene
- benzene triethylamine
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 3) is to prepare the compound represented by formula 4 by replacing the Mesylate site of the compound represented by formula 7 prepared in step 2) with the compound represented by formula 13.
- organic solvent tetrahydrofuran (THF), diethylether, diphenylether, diisopropylether (DIPE), dimethylformamide (DMF), dimethylacetamide (DMA), dimethylsulfoxide DMSO), dichloromethane (DCM), chlorobenzene, toluene, or benzene may be used, and preferably, dichloromethane (DCM) may be used.
- Cs 2 CO 3 cesium carbonate
- NaBH 3 sodium borohydride
- LiAlH 4 lithium aluminum hydride
- Cs 2 CO 3 cesium carbonate
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- step 4) is to prepare the compound represented by formula 1 by carrying out a reduction reaction of the compound represented by formula 4, prepared in step 3), in the presence of a base. More specifically, the compound represented by formula 4 prepared in step 3) is reacted with the base at room temperature to give the compound represented by formula 1 wherein the ester group contained in the compound represented by formula 4 is reduced into the carboxyl group.
- potassium hydroxide (KOH), sodium hydroxide (NaOH), and lithium hydroxide (LiOH) may be used, and preferably, potassium hydroxide (KOH) may be used.
- reaction solvent tetrahydrofuran (THF), dichloromethane (DCM), toluene, and acetonitrile may be used, and preferably tetrahydrofuran (THF) may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- the compound represented by formula 1 may be prepared, as shown in Reaction Scheme 4 below, by including a step for carrying out a ring-opening reaction of a compound represented by formula 1a to prepare a compound represented by formula 1b (step 1). (wherein Reaction Scheme 4,
- step 1) is to prepare the compound represented by formula 1b by carrying out a ring-opening reaction of the compound represented by formula 1a in the presence of an acid. More specifically, the compound represented by formula 1a included in the compound represented by formula 1 is subjected to a ring-opening reaction in the presence of an acid, thereby giving the compound represented by formula 1b, which contains carbonyl through the ring opening of the hetero ring of the compound represented by formula 1a.
- an inorganic acid such as hydrochloric acid, sulfuric acid, or phosphoric acid
- hydrochloric acid may be used.
- reaction solvent tetrahydrofuran (THF), dichloromethane (DCM), toluene, and acetonitrile may be used, and preferably tetrahydrofuran (THF) may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- the compound represented by formula 1 may be prepared, as shown in Reaction Scheme 5 below, by including a step for carrying out a reduction reaction of a compound represented by formula 1b to prepare a compound represented by formula 1c (step 1). (wherein Reaction Scheme 5,
- step 1) is to prepare the compound represented by formula 1c by carrying out a reduction reaction of the compound represented by formula 1b in the presence of a base. More specifically, the compound represented by formula 1b, which is one of the compounds represented by formula 1, is subjected to a reduction reaction in the presence of a base, thereby giving the compound represented by formula 1c in which the carbonyl group of the compound represented by formula 1b is reduced to the hydroxyl group.
- sodium borohydride (NaBH 3 ) or lithium aluminum hydride (LiAlH 4 ) may be used, and preferably, sodium borohydride (NaBH 3 ) may be used.
- reaction solvent tetrahydrofuran (THF), dichloromethane (DCM), toluene, and acetonitrile may be used, and preferably tetrahydrofuran (THF) may be used.
- reaction temperature is preferably carried out between 0 ⁇ to the boiling point of the solvent, and the reaction time is not particularly limited, but the reaction may preferably be carried out for 0.5-10 hours.
- the pharmaceutical composition described herein is characterized by activating the GPR40 enzyme.
- GPR40 is the G-protein coupled receptor (GPCR) that is mainly expressed in insulin secreting cells of the pancreas.
- GPCR G-protein coupled receptor
- the GPR40 expression profile has the potential usability for the treatment of various metabolic diseases including obesity and diabetes.
- the compound represented by formula 1 can be administered in several dosage forms for oral or parenteral administration at the time of clinical administration, and may be formulated by using a diluent or excipient, such as a filler, an extender, a binder, a wetting agent, a disintegrant, or a surfactant, that is ordinarily used.
- a diluent or excipient such as a filler, an extender, a binder, a wetting agent, a disintegrant, or a surfactant, that is ordinarily used.
- Solid preparations for oral administration include a tablet, a pill, a powder, granules, a capsule, a troche, and the like. These solid preparations may be prepared by mixing a least one of the compounds described herein and at least one excipient, for example, starch, calcium carbonate, sucrose or lactose, gelatin, or the like. In addition to simple excipients, lubricants such as magnesium stearate and talc may also be used. Examples of a liquid preparation for oral administration may include a suspension, an oral liquid, an emulsion, a syrup, and the like. In addition to commonly used simple diluents, such as water and liquid paraffin, various excipients, such as a wetting agent, a sweetener, an aroma, a preservative, and the like may be included in the liquid preparation.
- excipients such as a wetting agent, a sweetener, an aroma, a preservative, and the like may be included in the liquid preparation.
- Preparations for parenteral administration include a sterilized aqueous solution, a non-aqueous solvent, a suspension solvent, an emulsion, a freeze-drying agent, and a suppository.
- a non-aqueous solvent and the suspension solvent propylene glycol, polyethylene glycol, a vegetable oil such as an olive oil, an injectable ester such as ethylolate, and the like may be used.
- a substrate for the suppository Witepsol, Macrogol, twin 61, cacao butter, laurin butter, glycerol, gelatin, or the like may be used.
- the effective dose of the compound described herein on the human body may vary depending on the age, body weight, sex, form of administration, health condition, and disease severity of a patient, and is generally about 0.001-100 mg/kg/day, and preferably 0.01-35 mg/kg/day. Based on an adult patient weighing 70 kg, the dose is generally 0.07-7000 mg/day, and preferably 0.7-2500 mg/day, and the dose may be administered once or several times a day at a predetermined time interval according to the judgment of a doctor or a pharmacist.
- Step 2 Preparation of 3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl) benzaldehyde
- Step 1 Preparation of 4-(1,4-dioxaspiro[4.5]dec-7-en-8-yl) benzaldehyde
- Step 2 Preparation of ethyl 3-(4-(4-(hydroxymethyl)benzyloxy)phenyl)hex-4-ynoate
- Step 3 Preparation of ethyl 3-(4-(4-(methylsulfonlyoxy)methyl)benzyloxy)phenyl) hex-4-ynoate
- 3-(4-(4-(hydroxymethyl)benzyloxy)phenyl)hex-4-ynoate (3.0 g) obtained in step 2 was added to MC (30 mL) in a 500-mL flask and stirred to dissolve, and then TEA (4.0 mL) was added dropwise at 0 ⁇ . After 30 minutes, MsCl (2.1 mL) was slowly added dropwise. Upon completion of the reaction after one hour, distilled water was slowly added dropwise, followed by extraction using MC. The extracted organic layer was dried under reduced pressure to give the title compound.
- Step 1 Preparation of ethyl 3-methoxyphenethyl carbamate
- step 1 Under a nitrogen atmosphere, 36 g of ethyl 3-methoxyphenethylcarbamate obtained in step 1 was stirred to dissolve in 120 g of polyphosphoric acid in a 500-mL flask, and the mixture was heated under reflux for 3 hours or longer. After the temperature was lowered to room temperature, ethyl acetate and distilled water were slowly added dropwise, followed by extraction three times or more. The extracted organic layer was washed with brine, and dried over anhydrous magnesium sulfate, and then concentrated. Thereafter, the reaction product was separated by silica column chromatography to give the title compound.
- Step 1 Preparation of tert-butyl 4-(4-(methylsulfonyl)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate
- step 1 After 1.4 g of tert-butyl 4-(4-(methylsulfonyl)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate (1.4 g) obtained in step 1 was dissolved in 20 ml of MC, 10.4 mL of 4 N HCl was added dropwise. Upon completion of the reaction after five hours, diethyl ether was added dropwise and solidified to give the title compound.
- Step 1 Preparation of tert-butyl 4-(4-hydroxyphenyl)-5,6-dihydropyridine-1(2H)-carboxylate
- the title compound was obtained by the same method as in step 1 in Preparative Example 9 except that 4-hydroxyphenylboronic acid was used instead of 4-(methylsulfonyl)phenylboronic acid.
- the title compound was obtained by the same method as in step 2 in Preparative Example 9 except that tert-butyl 4-(4-hydroxyphenyl)-5,6-dihydropyridine-1(2H)-carboxylate obtained in step 1 was used instead of tert-butyl 4-(4-(methylsulfonyl)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate.
- step 1 3-(methylthio)propyl 4-methylbenzenesulfonate obtained in step 1 was added in THF/distilled water (150/100 mL) in a flask and stirred to dissolve, and then 310 g of oxone was added dropwise at 0 ⁇ . After stirring at room temperature for 12 hours or longer, upon completion of the reaction, distilled water was slowly added dropwise, extracted with ethyl acetate, washed with brine, and dried over anhydrous magnesium sulfate to give the title compound.
- Step 3 Preparation of tert-butyl 4-(4-(3-methylsulfonyl)propoxy)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate
- Step 4 Preparation of 4-(4-(3-(methylsulfonyl)propoxy)phenyl)-1,2,3,6-tetrahydropyridine hydrochloride
- the title compound was obtained by the same method as in step 2 in Preparative Example 9 except that tert-butyl 4-(4-(3-methylsulfonyl)propoxy)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate obtained in step 3 was used instead of tert-butyl 4-(4-(methylsulfonyl)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate.
- Step 3 Preparation of (3S)-ethyl 3-(4-(4-(1-hydroxyethyl)benzyloxy)phenyl)hex-4-ynoate
- Step 4 Preparation of (3S)-ethyl 3-(4-(4-(1-bromoethyl)benzyloxy)phenyl)hex-4-ynoate
- step 3 Under a nitrogen atmosphere, 0.76 g of (3S)-ethyl 3-(4-(4-(1-hydroxyethyl)benzyloxy)phenyl)hex-4-ynoate obtained in step 3 was added to 50 mL of MC in a flask and stirred to dissolve, and then 0.6 g of triphenylphosphine and 0.75 g of CBr 4 were added dropwise at 0 ⁇ . After stirring at room temperature for 2 hours or longer, upon completion of the reaction, distilled water was slowly added dropwise, extracted with EA, washed with brine, dried over anhydrous magnesium sulfate, and then concentrated to give the title compound.
- Step 1 Preparation of tert-butyl 4-(benzo[d]thiazol-2-yl)piperazine-1-carboxylate
- Step 1 Preparation of tert-butyl 4-(5-propylpyrimidin-2-yl)piperazine-1-carboxylate
- Step 1 Preparation of tert-butyl 4-(5-cyanopyridin-2-yl)piperazine-1-carboxylate
- the title compound was obtained by the same method as in step 2 in Preparative Example 9 except that tert-butyl 4-(5-cyanopyridin-2-yl)piperazine-1-carboxylate obtained in step 1 was used instead of tert-butyl 4-(4-(methylsulfonyl)phenyl)-5,6-dihydropyridine-1(2H)-carboxylate.
- the title compound was obtained by the same method as in step 2 in Preparative Example 5 except that 2-(4-(bromomethyl)phenyl)ethanol obtained in step 1 was used instead of 4-(bromomethyl)phenyl)methanol.
- Step 1 Preparation of ethyl 3-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoate
- diisopropyl azodicarboxylate (23.4 mL) was slowly added dropwise using a dropping funnel at 0 ⁇ , and then stirred for 4 hours or longer while the temperature was raised to room temperature.
- distilled water 200 mL was slowly added dropwise and extracted with ethylacetate (300 mL), and then the extracted organic layer was dried under reduced pressure to give the title compound (32.1 g, 87.9%).
- Step 2 Preparation of 3-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoic acid
- ethyl 3-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoate (32.1 g) prepared in step 1, methanol (50 mL), and distilled water (50 mL) were loaded in a 500-mL flask and stirred to dissolve, and then potassium hydroxide (19.5 g) was slowly added at room temperature, followed by stirring for one hour or longer.
- Step 1 Preparation of ethyl 4-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoate
- Step 2 Preparation of 4-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoic acid
- the mixture was acidified with a 1 M hydrochloric acid aqueous solution to a pH of 2-3, extracted with ethyl acetate (50 mL), and dried under reduced pressure to give the title compound (0.98 g, 75.6%).
- diisopropyl azodicarboxylate (23.4 mL) was slowly added dropwise using a dropping funnel at 0 ⁇ , and then stirred for 4 hours or longer while the temperature was raised to room temperature.
- distilled water 200 mL was slowly added dropwise and extracted with ethylacetate (300 mL), and then the extracted organic layer was dried under reduced pressure to give the title compound.
- Step 2 Preparation of (3S)-3-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoic acid
- ethyl-(3S)-3-(4-(3-(1,4-dioxaspiro[4.5]dec-7-en-8-yl)benzyloxy)phenyl)hex-4-ynoate (32.1 g) prepared in step 1, methanol (50 mL), and distilled water (50 mL) were loaded in a 500-mL flask and stirred to dissolve, and then potassium hydroxide (19.5 g) was slowly added at room temperature, followed by stirring for one hour or longer.
- the mixture was acidified with a 1 M hydrochloric acid aqueous solution to a pH of 2-3, extracted with ethyl acetate (300 mL), and dried under reduced pressure to give the title compound (17.3 g, 47.5%).
- Step 1 Preparation of ethyl 3-(4-(4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate
- Step 2 Preparation of 3-(4-(4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoic acid
- ethyl 3-(4-(4-(3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate prepared in step 1 was added to THF, methanol, and distilled water in a flask and stirred to dissolve, and then, 0.7 g of lithium hydroxide was slowly added at room temperature, followed by stirring for 1 hour or longer.
- the mixture was acidified with a 1 M hydrochloric acid aqueous solution to a pH of 2-3, extracted with ethyl acetate, and dried under reduced pressure to give the title compound.
- Step 1 Preparation of ethyl 3-(4-(3-cyclohexenyl-4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate
- Step 2 Preparation of 3-(4-(3-cyclohexenyl-4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoic acid
- the title compound was obtained by the same method as in step 2 in Example 12 except that ethyl 3-(4-(3-cyclohexenyl-4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate was used instead of ethyl 3-(4-(4-((3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate.
- the title compound was obtained by the same method as in Example 12 except that 6-methoxy-1,2,3,4-tetrahydroisoquinoline was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 12 except that 4-phenylpiperidine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 12 except that 1-(4-fluorophenyl)piperazine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 12 except that 1-(4-(trifluoromethyl)phenyl)piperazine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- ethyl (S)-3-(4-(4-(3,4-dihydroisoquinolin-2(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate prepared in step 1 was added to THF, methanol, and distilled water in a flask and stirred to dissolve, and then, 0.5 g of lithium hydroxide was slowly added at room temperature, followed by stirring for 1 hour or longer. Upon completion of the reaction, the mixture was acidified with a 1 M hydrochloric acid aqueous solution to a pH of 2-3, extracted with ethyl acetate, and dried under reduced pressure to give the title compound.
- the title compound was obtained by the same method as in Example 21 except that 1-(4-(trifluoromethyl)phenyl)piperazine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 4-phenylpiperidine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 4-phenyl-1,2,3,6-tetrahydropyridine hydrochloride was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 1-(4-(methoxymethoxy)phenyl)piperazine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 3-isopropyl-5-(piperazin-1-yl)-1,2,4-oxadiazole was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 1-(4-(3-(methylsulfonyl)propoxy)phenyl)piperazine hydrochloride was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 4-(4-fluorophenyl)-1,2,3,6-tetrahydropyridine hydrochloride was used instead of 1,2,3,4-tetrahydroisoquinoline.
- the title compound was obtained by the same method as in Example 21 except that 4-(4-methoxyphenyl)-1,2,3,6-tetrahydropyridine was used instead of 1,2,3,4-tetrahydroisoquinoline.
- Step 1 Preparation of (S)-3-(4-(4-((3,4-dihydroisoquinolin-1(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoic acid
- the title compound was obtained by the same method as in Example 21 except that 1,2,3,4-tetrahydroquinoline was used instead of 1,2,3,4-tetrahydroisoquinoline.
- Step 2 Preparation of sodium (S)-3-(4-(4-((3,4-dihydroquinolin-1(1H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoate
- the title compound was obtained by the same method as in Example 37 except that (S)-3-(4-(4-((3,4-dihydroquinolin-1(2H)-yl)methyl)benzyloxy)phenyl)hex-4-ynoic acid prepared in step 1 was used instead of (S)-3-(4-(4-(isoindolin-2-yl methyl)benzyloxy)phenyl)hex-4-ynoic acid.
- Example 40 The title compound was obtained by the same method as in Example 37 except that (S)-3-(4-(4-((4-(4-methoxyphenyl)piperazin-1-yl)methyl)benzyloxy)phenyl)hex-4-ynoic acid prepared in Example 40 was used instead of (S)-3-(4-(4-(isoindolin-2-yl methyl)benzyloxy)phenyl)hex-4-ynoic acid.
- Step 1 Preparation of ethyl (S)-3-(4-(4-(2-(6-methoxy-3,4-dihydroisoquinolin-2(1H)-yl)ethyl)benzyloxy)phenyl)hex-4-ynoate
- Step 2 Preparation of (S)-3-(4-(4-(2-(6-methoxy-3,4-dihydroisoquinolin-2(1H)-yl)ethyl)benzyloxy)phenyl)hex-4-ynoic acid
- ethyl (S)-3-(4-(4-(2-(6-methoxy-3,4-dihydroisoquinolin-2(1H) - yl)ethyl)benzyloxy)phenyl)hex-4-ynoate prepared in step 1 was added to THF, methanol, and distilled water in a flask and stirred to dissolve, and then, 0.5 g of lithium hydroxide was slowly added at room temperature, followed by stirring for 1 hour or longer. Upon completion of the reaction, the mixture was acidified with a 1 M hydrochloric acid aqueous solution to a pH of 2-3, extracted with ethyl acetate, and dried under reduced pressure to give the title compound.
- the title compound was obtained by the same method as in Example 48 except that isoindoline was used instead of 6-methoxy-1,2,3,4-tetrahydroisoquinoline.
- Described herein is a method for the prevention or treatment of metabolic diseases, the method including administering, to a subject, a pharmaceutically effective amount of a composition containing: (a), as a first active ingredient, a compound represented by formula 1, an optical isomer, hydrate, or solvate thereof, or a pharmaceutically acceptable salt thereof; and (b), as a second active ingredient, at least one compound selected from the group consisting of dipeptidyl peptidase-IV (DPP-IV) inhibitor-based, sulfonylurea-based, thiazolidinedione (TZD)-based, biguanide-based, and sodium/glucose cotransporter 2 (SGLT2) inhibitor-based compounds, as a second active ingredient:
- DPP-IV dipeptidyl peptidase-IV
- ZD thiazolidinedione
- biguanide-based biguanide-based
- SGLT2 sodium/glucose cotransporter 2
- Formula 1 is as described in the detailed description of the composition for the prevention or treatment of metabolic diseases.
- the mixed composition of the active ingredient and the second active ingredient is not particularly limited to the mixing weight ratio since no side effects or reduced efficacy are caused by the mixing weight ratio, and considering pathological conditions of patients, the known characteristics of the second active ingredient, and the like, the first active ingredient and the second active ingredient may be mixed at appropriate amounts and administered in combination.
- the mixing weight ratio may be 0.03:1 to 100:1.
- the mixing weight ratio may be 0.03:1 to 30:1.
- the mixing weight ratio may be 0.03:1 to 10:1.
- HEK-293 cells were transfected with human GPR40 DNA (Origene, RC218370) by using Fugene HD (Promega, E2311). The transfected HEK-293 cells were seeded in a 96-well black, clear bottom plate (Costar, 3603) and cultured. After 24 hours, the cell culture medium was removed, and replaced with Dulbecco's Modified Eagle Medium (DMEM, 50 ⁇ l) supplemented with 1% fetal bovine serum (FBS).
- DMEM Dulbecco's Modified Eagle Medium
- FBS fetal bovine serum
- Fluo-4 reagent (Invitrogen, F10471) was added to each well and cultured in a 37 ⁇ incubator for 2 hours.
- the compounds of the examples and the compounds of Comparative Examples 1 and 2 were diluted with 1 x Hank's buffered salt solution (HBSS) supplemented with 20 mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) buffer to prepare samples to be treated on cells.
- HBSS Hank's buffered salt solution
- HEPES 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid
- DMSO dimethylsulfoxide
- GPR 40 activity intracellular calcium concentration increased by the sample / intracellular calcium concentration of the non-treated group ⁇ 100 [Table 2]
- the compounds of the examples had excellent effects in activating the GPR 40 protein at low concentrations.
- the compounds of Examples 7, 9, 11, 12, 14, 27, 28, 37, and 38 activated the GPR40 protein by 50% at very low concentrations, such as 0.20 ⁇ M or lower, indicating that the ability thereof to increase the intracellular Ca 2+ concentration was very excellent compared with that of the compound of Comparative Example 1 (B, 0.28 ⁇ M).
- a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative induces excellent GPR40 protein activity and, especially, shows similar or improved GPR40 protein activity compared with a conventional antidiabetic drug (Comparative Example 1), which has been been known to activate GPR40 protein to promote the insulin secretion, and thus, a pharmaceutical composition containing the compound described herein as an active ingredient can be advantageously used as a pharmaceutical composition for the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- the EMD Millipore's GPCR profiler assay buffer was a Hanks balanced salt solution (HBSS) containing 20 mM HEPES (4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid) and 2.5 mM probenecid (4-(dipropylsulfamoyl)benzoic acid) and adjusted to pH 7.4.
- HBSS Hanks balanced salt solution
- the fluorescence values minus the baseline were compared with E max values of the positive controls (Comparative Examples 1 and 3) and the non-treated group, and then calculated as a percent (%).
- the obtained data indicate the inhibition (%) resulted from the comparision of EC 50 with the non-treated group, and the quality of each plate was evaluated by the statistical data representing the activity % from repeated data values. When the assay data were not satisfactory, an additional experiment was performed.
- the concentration required to reach 50% of GPR40 activity was very low (lower than the measurable concentration of 1 nM) in the compound of the example compared with the compounds of Comparative Examples 1 and 3.
- the compound of the example activated GPR40 at a much lower concentration than the compounds of Comparative Example 1 (14 nM) and Comparative Example 3 (27 nM).
- a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative induces excellent GPR40 protein activity and especially, shows significantly excellent GPR40 protein activity compared with conventional antidiabetic drugs (Comparative Examples 1 and 3), which have been known to activate GPR40 protein to promote the insulin secretion, and thus, the pharmaceutical composition containing the novel compound as an active ingredient can be advantageously used as a pharmaceutical composition for the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- P450 BACULOSOMES® reagent and a reproducer (100X) provided in the Invitrogen kit were diluted in Vivid® CYP450 reaction buffer (2 ⁇ ) at the concentration that matched the target CYP450.
- the prepared 2.5 ⁇ sample (80 ⁇ L) and the diluted P450 BACULOSOMES® reagent mixture (100 ⁇ L) were mixed in the U-bottom 96-well plate, followed by pre-culture for 20 minutes.
- Vivid® CYP450 substrate and NADP+ (100 ⁇ ) were diluted in Vivid® CYP450 reaction buffer (2 ⁇ ) at the concentration that matched the target CYP450 and the kind of substrate.
- NADP nicotinamide adenine dinucleotide phosphate
- the enzyme/substrate mixture was prepared by diluting a buffer (0.5 M potassium phosphate, pH 7.4) and each CYP450 enzyme/substrate mixture with distilled water to a concentration instructed according to the kind of CYP450. Upon completion of the pre-culture, 100 ⁇ L of the enzyme/substrate mixture was added to the plate, followed by reaction in a 37 ⁇ incubator for 15 minutes (CYP 1A2), 30 minutes (CYP 3A4 and CYP 2C19) or one and half hours (CYP 2C9).
- the reactant was transferred onto the white plate, and then fluorescence was measured with a microplate reader (excitation wavelength: 410 nm, absorption wavelength: 460 nm for CYP 1A2 and CYP 2C19; and excitation wavelength: 409 nm, absorption wavelength: 530 nm for CYP 2C9 and CYP 3A4).
- excitation wavelength: 410 nm, absorption wavelength: 460 nm for CYP 1A2 and CYP 2C19; and excitation wavelength: 409 nm, absorption wavelength: 530 nm for CYP 2C9 and CYP 3A4 The values measured above were converted into % as the inhibition of the sample compared with the non-treated group. The results are shown in Table 4.
- the compounds of the examples showed low activity on the CYP450 inhibition, suggesting that the risk of side effects due to the drug interaction is low. More specifically, the compounds of almost all the examples showed enzyme inhibitions of about 50% or less on CYP 1A2, CYP 2C9, CYP 2C19, CYP 2D6, and CYP 3A4 enzymes. In particular, the compounds of the examples showed relatively very low enzyme inhibitory activity on CYP 2C9 enzyme, compared with the compound of Comparative Example 1 (81.2%), which is used as a conventional anti-diabetic drug that can promote the insulin secretion by activating GPR40 protein. In addition, the compounds of the examples showed relatively very low enzyme inhibitory activity on CYP 2D6 enzyme, compared with the compound of Comparative Example 2 (63.2%).
- a pharmaceutical composition containing the novel compound as an active ingredient can be co-administered together with other drugs, and thus can be advantageously used in the treatment of complications including metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- Glucose (4 g/kg) was orally administered at a dose of 5 ml/kg 30 minutes after each sample was administered. Then, the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 30 minutes before the glucose administration (-30), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The reduction (%) of blood glucose AUC was measured and the results are shown in Table 5 below. [Table 5] Example % AUC 2 17.2 3 12.5 4 16.2 6 15.2 9 24.7 12 31.0 14 27.7 16 21.1 25 24.6 29 27.1 36 22.6 37 28.5 41 23.7 43 21.2 44 22.8 Comparative Example 1 16.2
- the compounds of the examples had a blood sugar lowering effect of, on average, 21.9% compared with the non-treated group, suggesting that the compounds of the examples have excellent in vivo advantageous effects.
- the compound of Comparative Example 1 known as a conventional GPR40 protein activator, was verified to have a blood glucose lowering effect of 16.2%, but the compounds of the examples showed more excellent blood glucose lowering effects compared with the compound of Comparative Example 1.
- the compounds of Examples 9, 12, 14, 29, and 37 showed blood glucose lowering effects of 24.7%, 31.0%, 27.7%, 27.1%, and 28.5%, respectively, and thus exhibited more excellent efficacy compared with the compound of Comparative Example 1.
- a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative has an excellent effect of activating GPR40 protein, and thus has an excellent insulin secretion promoting effect, leading to a significantly excellent blood glucose lowering effect, and thus, a pharmaceutical composition containing the novel compound as an active ingredient can be advantageously used as a pharmaceutical composition for the treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- GK rats Male Goto-Kakizaki (GK) rats aged 22-23 weeks, as non-obese type II diabetic models, were acclimated for at least 7 days, and then only healthy animals were used for the oral glucose tolerance test (OGTT test). After fasting for 16-18 hours, five rats per group were randomly grouped and orally administered with the compounds prepared in Examples 5, 9, 14, 28, 37, and 47 at a dose of 0.3-10 mg/kg each.
- the compounds of the examples showed a blood glucose lowering effect of, on average, at least 30.0% compared with the non-treated group at the same dose of the compound of Comparative Example 1 (10 mg/kg). More specifically, the compound of Comparative Example 1 showed a blood glucose lowering effect of 25.3% (B) at a dose of 10 mg/kg, while the compounds of Examples 5, 9, 14, 28, 37, and 47 showed similar blood glucose lowering effects at a dose of 3 mg/kg compared with the compound of Comparative Example 1. In particular, the compounds of Examples 9 and 37 showed blood gulose lowering effects of 35.0% or more at a dose of 10 mg/kg, indicating more excellent efficacy compared with the compound of Comparative Example 1.
- a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative has an excellent effect of activating GPR40 protein, and thus has an excellent insulin secretion promoting effect, leading to a significantly excellent blood glucose lowering effect, and thus, a pharmaceutical composition containing the novel compound as an active ingredient can be advantageously used as a pharmaceutical composition for the treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- OLETF Male Otsuka Long-Evans Tokushima fatty (OLETF) rats aged 29-30 weeks, as obese type II diabetic models, were acclimated for at least 7 days, and then only healthy animals were used for the oral glucose tolerance test (OGTT test). After fasting for 16-18 hours, five rats per group were randomly grouped and orally administered with the compounds prepared in Examples 5, 9, 14, 28, 37, and 47 at a dose of 1-10 mg/kg each.
- a solution PEG 400/Tween 80/0.25% CMC, 5%/5%/90%, v/v/v) containing 5% polyethyleneglycol/5% tween 80/0.25% carboxymethylcelluluse (CMC) was orally administered at the same dose.
- Glucose (4 g/kg) was orally administered at a dose of 5 ml/kg 60 minutes after each sample was administered. Then, the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.).
- the compounds of the examples showed a blood glucose lowering effect of, on average 35.0% or more, compared with the non-treated group at the same dose of the compound of Comparative Example 1 (10 mg/kg). More specifically, the compound of Comparative Example 1 showed a blood glucose lowering effect of 31.6% (B) at a dose of 10 mg/kg, while the compounds of Examples 9 and 37 showed more excellent blood glucose lowering effects at a dose of 1 mg/kg compared with the compound of Comparative Example 1. In particular, the compounds of Examples 9 and 37 showed blood gulose lowering effects of 35.0% or more at a dose of 10 mg/kg, indicating more excellent efficacy compared with the compound of Comparative Example 1.
- a novel 3-(4-(benzyloxy)phenyl)hex-4-ynoic acid derivative has an excellent effect of activating GPR40 protein, and thus has an excellent insulin secretion promoting effect, leading to a significantly excellent blood glucose lowering effect, and thus, a pharmaceutical composition containing the novel compound as an active ingredient can be advantageously used as a pharmaceutical composition for the treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- mice Male Sprague Dawley (SD) rats aged 10-12 weeks were acclimated for at least 7 days, and then only healthy animals were used for the following experiment. After fasting for 16-18 hours, five rats per group were randomly grouped and orally administered with the compound prepared in Example 9 at a dose of 10-100 mg/kg each (administration solvent volume: 5 mL/kg).
- a solution PEG 400/Tween 80/0.25% CMC, 5%/5%/90%, v/v/v
- CMC carboxymethylcelluluse
- FIG. 2 is a graph illustrating the blood GLP-1 concentration when Sprague Dawley (SD) rats were orally administered with the compounds of Example 9 and Comparative Example 1.
- the compound of Comparative Example 1 did not show an effect of increasing the concentration of GLP-1 hormone, which promotes the insulin secretion, after administration, but the compound of Example 9 increased the blood GLP-1 concentration at the dose administered to the SD rats.
- mice aged 29 to 30 weeks were randomly grouped into five animals per each group, and then orally administered with the compound prepared in Example 9 at a dose of 30-100 mg/kg (volume of administration solvent: 5 ml/kg).
- 5% carboxymethyl cellulose (CMC) was orally administered at the same dose.
- 10 mg/kg of sitagliptin, which is a drug well known as a dipeptidyl peptidase IV (DPPIV) inhibitor was administered alone.
- 10 mg/kg of sitagliptin and 30-100 mg/kg of the compound prepared in Example 9 were co-administered.
- Each test sample and 0.5% carboxymethyl cellulase (CMC) were orally administered at 5 ml/kg.
- glucose 4 g/kg was orally administered at a dose of 5 ml/kg.
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 30 minutes before the glucose administration (-30), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration,, and the blood glucose was measured through tail vein puncture. The results are shown as a reduction (%) of blood glucose AUC. The reduction (%) of AUC was shown in Table 9 below and FIG. 7 .
- mice aged 29 to 30 weeks were randomly grouped into five animals per each group, and then orally administered with the compound prepared in Example 9 at a dose of 10-100 mg/kg (volume of administration solvent: 10 ml/kg).
- 5% carboxymethyl cellulose (CMC) was orally administered at the same dose.
- 10 mg/kg of glimepiride which is well known as a sulfonylurea-based drug, was administered alone.
- 10 mg/kg of glimepiride and 10-100 mg/kg of the compound prepared in Example 9 were co-administered.
- the saline and test materials were orally administered at 5 ml/kg.
- glucose 4 g/kg was orally administered at a dose of 5 ml/kg.
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 60 minutes before the glucose administration (-60), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The results are shown in FIG. 4 and Table 10 below as a reduction (%) of blood glucose AUC.
- the blood glucose lowering effect was more excellent when glimepiride (10 mg/kg) and the compound (30 mg/kg or 100 mg/kg) prepared in Example 9 were co-administered rather than when sitagliptin (10 mg/kg) was used alone.
- a pharmaceutical composition described herein can be advantageously used in the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- mice aged 29 to 30 weeks were randomly grouped into five animals per each group, and then orally administered with the compound prepared in Example 9 at a dose of 10-30 mg/kg (volume of administration solvent: 10 ml/kg).
- CMC carboxymethyl cellulose
- rosiglitazone and pioglitazone which are well known as thiazolidinedione (TZD)-based drugs, were administered alone.
- 10 mg/kg of rosiglitazone and pioglitazone each and 10-30 mg/kg of the compound prepared in Example 9 were co-administered.
- the saline and test materials were orally administered at 5 ml/kg.
- glucose 4 g/kg was orally administered at a dose of 5 ml/kg.
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 60 minutes before the glucose administration (-60), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The results are shown in FIG. 5 and Table 11 below as a reduction (%) of blood glucose AUC.
- the blood glucose lowering effect was more excellent when rosiglitazone (5 mg/kg) and the compound (10 mg/kg or 30 mg/kg) prepared in Example 9 were co-administered rather than when rosiglitazone (5 mg/kg) was used alone.
- the blood glucose lowering effect was also more excellent when pioglitazone (10 mg/kg) and the compound (10 mg/kg) prepared in Example 9 were co-administered rather than when pioglitazone (10 mg/kg) was used alone.
- a pharmaceutical composition containing the derivative and another active ingredient can be advantageously used in the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- Example 9 After fasting for 16-18 hours, male Zucker diabetic fatty (ZDF) rats aged 8 weeks were randomly grouped into five animals per each group, and then orally administered with the compound prepared in Example 9 at a dose of 1-10 mg/kg (volume of administration solvent: 5 ml/kg).
- vehicle 5% carboxymethyl cellulose (CMC)
- metformin which is well known as a biguanide-based drug
- 50 mg/kg of metformin and 1-10 mg/kg of the compound prepared in Example 9 were co-administered.
- glucose 4 g/kg was orally administered at a dose of 5 ml/kg.
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 60 minutes before the glucose administration (-60), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The results are shown in FIG. 6 and Table 12 below as a reduction (%) of blood glucose AUC.
- Example 9 Compound Reduction (%) of blood glucose AUC Metformin (50 mg/kg) 21.7 Example 9 (1 mg/kg) 34.2 Example 9 (3 mg/kg) 40.9 Example 9 (10 mg/kg) 37.8 Metformin (50 mg/kg) + Example 9 (1 mg/kg) 43.0 Metformin (50 mg/kg) + Example 9 (3 mg/kg) 48.8 Metformin (50 mg/kg) + Example 9 (10 mg/kg) 48.3
- the blood glucose lowering effect was more excellent when metformin (50 mg/kg) and the compound (1 mg/kg, 3 mg/kg, or 10 mg/kg) prepared in Example 9 were co-administered rather than when metformin (50 mg/kg) was used alone.
- vehicle 0.5 %, carboxymethyl cellulose (CMC)
- CMC carboxymethyl cellulose
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 30 minutes before the glucose administration (-30), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The results are shown in FIG. 8 and Table 13 below as a reduction (%) of blood glucose AUC.
- Example 9 Compound Reduction (%) of blood glucose AUC
- Example 9 (3 mg/kg) 14.5 Metformin (10 mg/kg) 3.9 Metformin (50 mg/kg) 7.3 Metformin (100 mg/kg) 10.0
- Example 9 (3 mg/kg) + Metformin (10 mg/kg) 20.2
- Example 9 (3 mg/kg) + Metformin (50 mg/kg) 16.5
- Example 9 (3 mg/kg) + Metformin (100 mg/kg) 18.7
- a pharmaceutical composition according to the present invention can be advantageously used in the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- mice Male Sprague Dawley (SD) rats aged 8-10 weeks were acclimated for at least 7 days, and then only healthy animals were used for the OGTT experiment. After fasting for 16-18 hours, six rats per group were randomly grouped and administered with vehicle (0.5 %, carboxymethyl cellulose (CMC)) or the compound of Example 9 (3 mg/kg) or empagliflozin (1, 3, or 10 mg/kg), or co-administered with the compound of Example 9 (3 mg/kg) plus empagliflozin (1, 3, or 10 mg/kg). Vehicle and the compound of Example 9 were orally administered at 10 ml/kg.
- vehicle 0.5 %, carboxymethyl cellulose (CMC)
- CMC carboxymethyl cellulose
- glucose 4 g/kg was orally administered at a dose of 5 ml/kg.
- the blood glucose was measured by using Accu-chek active strip (Roche diagnostic Co.). The time for the measurement was set at 30 minutes before the glucose administration (-30), 0 minute, 20 minutes, 40 minutes, 60 minutes, and 120 minutes after the glucose administration, and the blood glucose was measured through tail vein puncture. The results are shown in FIG. 9 and Table 14 below as a reduction (%) of blood glucose AUC.
- Example 9 Compound Reduction (%) of blood glucose AUC
- Example 9 (3 mg/kg) 14.8 Empagliflozin(1 mg/kg) 6.5 Empagliflozin(3 mg/kg) 9.2 Empagliflozin(10 mg/kg) 29.5
- Example 9 (3 mg/kg) + Empagliflozin (1 mg/kg) 29.3
- Example 9 (3 mg/kg) + Empagliflozin (3 mg/kg) 30.2
- Example 9 (3 mg/kg) + Empagliflozin (10 mg/kg) 36.6
- a pharmaceutical composition described herein can be advantageously used in the prevention or treatment of metabolic diseases, such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- metabolic diseases such as obesity, type I diabetes, type II diabetes, impaired glucose tolerance, insulin resistance syndrome, hyperglycemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, and syndrome X.
- NCI-H716 cells were seeded in a 12-well plate coated with Matrigel (BD) at 1 ⁇ 10 6 cells/well, and cultured in an incubator (37 ⁇ ) for 48 hours. After removing the supernatant, the cells were washed with DMEM low glucose (5.5 mM; containing 2% FBS, 2 mM L-glutamine, 100 IU/ml penicillin, and 100 ug/ml streptomycin) medium, and subjected to starvation in the same medium for 4 hours. After removing the supernatant, the medium was replaced with DMEM high glucose (25 mM) containing diluted sitagliptin (0.1, 1, or 10 ⁇ M), and then pre-treated for 30 minutes.
- DMEM low glucose 5.5 mM; containing 2% FBS, 2 mM L-glutamine, 100 IU/ml penicillin, and 100 ug/ml streptomycin
- the medium was treated with the compound of Example 9 at each dose (1, 10, or 30 ⁇ M), and then the cells were cultured at 37 ⁇ for 2 hours.
- 0.1% DMSO was used as a control group.
- the amount of GLP-1 secreted from NCI-H716 cells was measured through a glucagon-like peptide-1 (GLP-1) kit (Millipore) by using the supernatant of the cells after the experiment was ended (see Table 15 and FIG. 10 ).
- INS-1 cells (rat insulinoma cell line) were seeded in a 24-well plate at 5X10 5 cells/well, and cultured for 48 hours. After the cells were washed with 3 mM glucose-KRB buffer (118 mM NaCl, 4.7 mM KCl, 1.2 mM KH 2 PO 4 , 1.16 mM MgCl 2 , 10 mM HEPES, 2.5 mM CaCl 2 , 25.5 mM NaHCO 3 , 0.2% BSA, pH 7.4), and cultured in the same buffer for 2 hours, so that the intracellular glucose concentration could be in a low concentration state.
- 3 mM glucose-KRB buffer 118 mM NaCl, 4.7 mM KCl, 1.2 mM KH 2 PO 4 , 1.16 mM MgCl 2 , 10 mM HEPES, 2.5 mM CaCl 2 , 25.5 mM NaHCO 3 , 0.2% BSA, pH 7.4
- test compound (see Table 16) was diluted to a final concentration of 0.1-10 M in 25 mM glucose-KRB buffer, and then used to treat the cells upon completion of the culture in 3 mM glucose conditions for 1 hour, thereby inducing the insulin secretion.
- the amount of insulin secreted in the insulin ELISA kit (Morinaga) was measured using the supernatant of the cells after the experiment was ended (see Table 16 and FIG. 11 ).
- Powders were prepared by mixing all the above ingredients and then packaging the mixture in an airtight bag.
- Tablets were prepared by mixing the above ingredients and then tableting the mixture according to an ordinary method for preparing a tablet preparation.
- Capsules were prepared by mixing the above ingredients and then filling the mixture in a gelatin capsule according to an ordinary method for preparing a capsule preparation.
- Injections were prepared by containing the above ingredients per ampoule (2 mL) according to an ordinary method for preparing an injection.
- each ingredient was dissolved in purified water, to which a lemon flavor was added, and then the above ingredients were mixed, to which purified water was added to make the total volume to 100 mL.
- the mixture was filled in a brown bottle and sterilized to prepare liquid formulations.
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SG11202004891PA (en) * | 2017-12-01 | 2020-06-29 | Hyundai Pharm Co Ltd | Novel use of 3-(4-(benzyloxy)phenyl)hex-4-inoic acid derivative |
PT3737470T (pt) * | 2018-01-08 | 2023-03-02 | Celon Pharma Sa | Derivados do ácido 3-fenil-4-hexinoico como agonistas de gpr40 |
PE20210640A1 (es) | 2018-02-13 | 2021-03-23 | Gilead Sciences Inc | Inhibidores pd-1/pd-l1 |
TWI712412B (zh) | 2018-04-19 | 2020-12-11 | 美商基利科學股份有限公司 | Pd‐1/pd‐l1抑制劑 |
ES2962674T3 (es) | 2018-07-13 | 2024-03-20 | Gilead Sciences Inc | Inhibidores PD-1/PD-L1 |
CN112955435B (zh) | 2018-10-24 | 2024-09-06 | 吉利德科学公司 | Pd-1/pd-l1抑制剂 |
MX2021014751A (es) * | 2019-05-31 | 2022-01-18 | Hyundai Pharm Co Ltd | Forma cristalina novedosa de derivado de acido 3-(4-(benciloxi)fenil)hex-4-inoico. |
KR102270026B1 (ko) * | 2020-01-31 | 2021-06-28 | 현대약품 주식회사 | (3s)-3-(4-(3-(1,4-다이옥사스파이로[4,5]데스-7-엔-8-일)벤질옥시)페닐)헥스-4-이노익산의 품질 평가 방법 |
KR102699076B1 (ko) * | 2021-04-01 | 2024-08-27 | 현대약품 주식회사 | 3-(4-(벤질옥시)페닐)헥스-4-이노익산 유도체의 신규 용도 |
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EP1737809B1 (en) | 2004-02-27 | 2013-09-18 | Amgen, Inc | Compounds, pharmaceutical compositions and methods for use in treating metabolic disorders |
JP4859665B2 (ja) * | 2004-03-30 | 2012-01-25 | 武田薬品工業株式会社 | アルコキシフェニルプロパン酸誘導体 |
UA95296C2 (uk) * | 2006-06-27 | 2011-07-25 | Такеда Фармасьютікал Компані Лімітед | Конденсовані циклічні сполуки |
US7687526B2 (en) | 2006-09-07 | 2010-03-30 | Amgen Inc. | Benzo-fused compounds for use in treating metabolic disorders |
PE20081150A1 (es) * | 2006-09-13 | 2008-10-03 | Takeda Pharmaceutical | Inhibidores de dipetidilpeptidasa |
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AR078522A1 (es) * | 2009-10-15 | 2011-11-16 | Lilly Co Eli | Compuesto de espiropiperidina, composicion farmaceutica que lo comprende, su uso para preparar un medicamento util para tratar diabetes y compuesto intermediario para su sintesis |
KR102668834B1 (ko) * | 2009-11-27 | 2024-05-24 | 베링거 인겔하임 인터내셔날 게엠베하 | 리나글립틴과 같은 dpp-iv 억제제를 사용한 유전자형 검사된 당뇨병 환자의 치료 |
TW201215387A (en) | 2010-07-05 | 2012-04-16 | Sanofi Aventis | Spirocyclically substituted 1,3-propane dioxide derivatives, processes for preparation thereof and use thereof as a medicament |
EA201401231A1 (ru) * | 2012-05-09 | 2015-08-31 | Бёрингер Ингельхайм Интернациональ Гмбх | Фармацевтические комбинации, предназначенные для лечения метаболических нарушений |
KR101569522B1 (ko) * | 2013-04-18 | 2015-11-17 | 현대약품 주식회사 | 신규한 3-(4-(벤질옥시)페닐)헥스-4-이노익 산 유도체, 이의 제조방법 및 이를 유효성분으로 함유하는 대사성 질환의 예방 또는 치료용 약학적 조성물 |
EA201690888A1 (ru) * | 2013-11-14 | 2016-10-31 | Кадила Хелзкэр Лимитед | Новые гетероциклические соединения |
CN104740635A (zh) * | 2013-12-26 | 2015-07-01 | 上海复星医药产业发展有限公司 | 一种糖尿病药物组合物及其应用 |
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US20170296539A1 (en) | 2017-10-19 |
US10821110B2 (en) | 2020-11-03 |
JP2017534582A (ja) | 2017-11-24 |
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MX2017004614A (es) | 2017-06-20 |
CA2960944C (en) | 2019-09-10 |
BR112017007720B1 (pt) | 2023-01-17 |
ES2869910T8 (es) | 2022-02-01 |
EP3207928A2 (en) | 2017-08-23 |
CA2960944A1 (en) | 2016-04-21 |
BR112017007720A2 (pt) | 2017-12-19 |
PL3207928T3 (pl) | 2021-08-23 |
ES2869910T3 (es) | 2021-10-26 |
JP6458136B2 (ja) | 2019-01-23 |
WO2016060517A3 (ko) | 2016-09-15 |
SA517381320B1 (ar) | 2021-07-12 |
KR101728900B1 (ko) | 2017-04-24 |
CN106715409B (zh) | 2020-09-11 |
EP3207928A4 (en) | 2018-03-14 |
AU2015331074A1 (en) | 2017-05-18 |
AU2015331074B2 (en) | 2018-11-15 |
RU2680248C1 (ru) | 2019-02-19 |
CN111423408A (zh) | 2020-07-17 |
WO2016060517A2 (ko) | 2016-04-21 |
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DK3207928T3 (da) | 2021-04-26 |
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